• Vascular causes of AMS are typically abrupt in onset
  Seizures can be non-convulsive and affect cognition
  Alzheimer's - Dementia advances before onset of motor symptoms
  
  MRI stroke protocol not as helpful as MRI Brain - given it does not have sagittal and T1 views. If not looking for acute stroke, can get full brain MRI for more information.
  • Epilepsy and Paraneoplastic disease can have normal MRIs
  
  

  Posted 07/28/16 02:20:09 PM by Adam Faye

• Lewy Body Dementia: Need 2/3 "Core Clinical Features"
  • Fluctuations in cognition and levels of alertness - severity, duration and symptoms can vary
  • Visual Hallucinations
  • Parkinsonism
  
  
  Suggestive Features:
  1. REM sleep behavior disorder
  2. Neuroleptic sensitivity
  3. Repeated falls
  4. Syncope
  5. Autonomic dysfunction
  
  

  Posted 07/28/16 02:33:17 PM by Adam Faye

• For further reading...

  Lewy Body Review
  Submandibular Bx for Dx?
  
  

  Posted 07/28/16 02:34:39 PM by Adam Faye

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